Abstract

SOLANO- VILLARROEL, José Luis  and  SAAVEDRA- HERNANDEZ, Giovanna. Embolización selectiva de la arteria carótida externa en el manejo de pacientes con tumoraciones benignas en la cavidad nasal y la cara, primeras experiencias en el Hospital México. Acta méd. costarric [online]. 2007, vol.49, n.1, pp.62-66. ISSN 0001-6002.

Justification: Juvenile nasopharyngeal angiofroma is one of the most common benign tumors seen in the nasal cavity in adolescents, it causes recurrent epistaxis, nasal obstruction, spelling and other clinical manifestations. On the other hand, facial hemangiomata are benign tumors very frequent in childhood, the patients can present intermittent bleeding and facial deformities. At the present time, embolization of the external carotid artery is being used frequently in the handling of these patients, since it is a lesser invasive procedure that has shown to provide a more favorable clinical outcome in these patients. Less operative and postoperative bleeding has been described, diminishing the mortality. It also speeds the patients recovery, shortening in this way the hospital stay. Objective: To describe the first experiences with the use of the embolization of the A external carotid artery in patients with juvenile nasopharyngeal angiofi bromas and facial hemangiomas at the México Hospital. Results: Surgical escisión of the previously embolized tumors was uneventful. After embolization the two patients with hemangiomata showed clinical improvement diminishing the size of the lesion and the bleeding of the hemangioma (in one patient). In both entities the recovery of the patients was very satisfactory, without complications and their hospitalization was very short. Conclusion: Presurgical embolization has been used to help in the handling of diverse conditions. At the moment, it is being implemented in our hospital in the manegement of different problems, such as juvenile nasopharyngeal angiofi broma and facial hemangioma with excellent results. Embolization of the external carotid artery, a lesser invasive procedure as achieved tumor diminution, bleeding during the surgical procedure and the lees complications that can be derived from these conditions. This procedure is a more convenient method for handling this type of patients, since it is a technique that does not cause greater complications, it provides more favorable results, it improves the quality of life of the patient and helps them to recover faster.

Keywords : Carotid artery; embolization; juvenile nasopharyngeal angiofi broma; hemangioma.

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